NPI | 1669097952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ R81136) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301508829) |
Enumeration Date | 2020-06-11 |
Last Update Date | 2025-06-02 |